July 29—In an effort to prevent fraud in three “hot-spot” cities, the Centers for Medicare & Medicaid Services (CMS) has imposed a temporary ban on home health and ambulance provider enrollment in Medicare, Medicaid, and the Children’s Health Insurance Program. According to a press release issued by the agency on July 26, the six-month moratoria apply to home health agencies and ambulance service providers in Chicago, Houston, and Miami. CMS is exercising this authority, granted to the agency by the Affordable Care Act, for the first time.

Existing providers and suppliers may continue to deliver and bill for services, but no new provider and supplier applications will be approved until the moratoria are lifted, CMS says in the release.

The moratoria begin Tuesday, July 30.  CMS has the option to lift the moratoria earlier or extend it another six months by issuing a notice in the Federal Register.

Publication Date: Monday, July 29, 2013